| NPI | 1821217415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 0434363) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 0434363) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2012-09-25 |